“Employees Putting on the Ritz at KMC” included on the next page. This article discusses an
employee empowerment program at Kootenai Medical Center in Coeur d’Alene, Idaho.
Students could be asked to discuss potential benefits of the program of empowerment at KMC, and/or
discuss potential drawbacks. Perhaps the class might even be divided and forced to argue for the
benefits of such a program, or argue regarding the drawbacks of such empowerment. Students might
also, at the end of the discussion, think from a “service marketing” perspective whether or not KMC’s
program is a good idea, and asked to defend their opinion. Adaptations of this question have been
used very effectively in exams.
Employees Putting on the Ritz at KMC:
Hospital workers allowed to spend $1,000 a year to improve patient stays
By Craig Welch
COEUR d’ALENE—Kootenai Medical Center plans to give all 1,000 of its employees the
spending power of a hotel housekeeper. But not just any housekeeper—a Ritz-Carlton Hotel
housekeeper. Starting Nov. 1, KMC’s top brass will let every hospital worker spend up to $1,000
a year to improve patients’ or family members’ stays or to help resolve customer complaints. The
million-dollar move mirrors a program at the luxury hotel, which empowers all its employees to
spend money without a manager’s approval. The idea: Keep customers happy.
“We do everything we can to try to never lose a customer,” said Amber Vierra, a spokeswoman
for the Ritz in San Francisco. Joe Morris, the hospital’s chief executive officer, thinks that is a
worthy goal for a hospital as well. Morris stole the idea from author and business guru Tom
Peters, who lectured last month at Eastern Washington University.
“He told us about a housekeeper named Rosa in charge of the second floor at the Ritz-Carlton
who had the authority to spend a couple of thousand dollars to please a guest,” Morris said.
Morris ran with the brainstorm. Under his new program, radiologists could knock down a
customer’s bill when it’s clear the patient had been overcharged. A janitor could buy pizza for
family members waiting for grandma to come out of surgery. A dietician could pay for a cab ride
for an elderly woman who can’t find a ride home.
“People want to have as much control of their work as possible,” Morris said. “Giving them
authority to spend money is a symbolic one, and it takes care of needs of patients and family.
That sends a good message to folks.”
Currently, he said, patients with billing complaints go through a billing department. It may be
months before the complaint is resolved. Other examples abound. “Sometimes a person flies in
to visit a relative and the admitting desk clerk says they’re not in here and we later discover they
are in the hospital,” Morris said. Under the program, Morris said, a receptionist could apologize
to Uncle Joe and perhaps pay for his hotel room.
At the Ritz-Carlton in San Francisco, receptionists frequently eliminate phone charges if
customers can’t remember placing the call, said Vierra. “If another guest is making noise next
door, we would relocate the guest,” she said. “If we didn’t have a room, we’d offer them another
night’s stay free.” The hotel program aptly is named “instant guest pacification,” Vierra said.
Morris is still working out some of the finer points of the hospital’s program. He wants